Transphyseal anterior cruciate ligament reconstruction in adolescent athletes provides good functional outcomes

Background: In adolescent athletes, the treatment of anterior cruciate ligament (ACL) tear is still a topic of debate. The present study aimed to evaluate the functional outcomes and complications of transphyseal ACL reconstruction (ACLR) in adolescent athletes. Materials and Methods: Thirty-four athletes who underwent transphyseal ACLR using a hamstring tendon graft participated in this study. Functional outcomes (Lysholm and Tegner activity score) and potential complications (graft rupture, angular deformity [AD], or limb length discrepancy) after transphyseal ACLR were assessed at the final follow-up. Results: The average age at the time of the surgery was 13.1 ± 0.8 years. Lysholm and Tegner activity score was 96.5 ± 5 and 8.1 ± 1.4, respectively, at a mean follow-up of 64.9 ± 23.9 months. 27/34 (79%) of patients returned to the same level of sports. The mean time to return to sports was 8.3 ± 1.5 months. Three patients had graft tears, and none of the patients had any deformity. Conclusion: Transphyseal ACLR is a safe procedure with good functional outcomes. Level of Study: Level III.